Mammalian bites: Difference between revisions
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#DM; PVD, steroid use, etc | #DM; PVD, steroid use, etc | ||
==ADMISSION *HUMAN HAND* BITE=== | ==Disposition== | ||
# wound>24hours | ===ADMISSION *HUMAN HAND* BITE=== | ||
# establihed infxn | #wound>24hours | ||
# penetration joint/tendon | #establihed infxn | ||
# presence foreign body | #penetration joint/tendon | ||
# unreliable pt/poor home sit | #presence foreign body | ||
# diabetic | #unreliable pt/poor home sit | ||
#diabetic | |||
Abx = Amox/clav | Abx = Amox/clav | ||
Revision as of 14:16, 15 March 2011
Table
| Species Bite |
Suturing? |
Proph Abx? |
| Dog |
Yes (+/- hand/foot) | High risk^ |
| Cat |
Face only |
Yes |
| Rodent |
Yes |
No |
| Monkey |
No |
Yes |
| Human (hand) |
No |
Yes |
| Human (other) |
Yes |
High risk^ |
| Self-bite (mucosa) |
Yes |
No |
| Self-bite (through) |
Yes |
Yes |
^HIGH RISK
- Hand wounds
- Deep punctures
- Heavy contam
- Sig tissue destruct
- >12hrs
- Joint, tendon, bone
- DM; PVD, steroid use, etc
Disposition
ADMISSION *HUMAN HAND* BITE
- wound>24hours
- establihed infxn
- penetration joint/tendon
- presence foreign body
- unreliable pt/poor home sit
- diabetic
Abx = Amox/clav
Source
1/22/06 DONALDSON (adapted from Lampe, Rosen)